Madrasah Masjid Aisha (Madrasah Talimul Islam) Registration Please fill the details student(s) to our waiting list. For more information, please contact us about this form. * denotes required field *Your name: (Parent/Guardian) *Surname: *Relation to student: Autofill: Father Mother Brother Sister Type: SELECT ↵ ParentSiblingEmergencyOther *Your email: *Confirm email: Parent Portal Password: Confirm password: If you already have an account and a password, you can skip this and leave it blank. Otherwise you should set your password now to login to the parent portal now. Telephone: *Mobile: *Address: *Postcode: Students Student #1: Surname: D.O.B: Gender: SELECT ↵ Male Female Email: Add medical info/notes Medical Conditions General Notes 500 remaining Add Another Student Contacts You are the primary contact. You can add more contacts below. Additional Contact #1 Contact Name: Email: Tel.: Parent Portal Password: Confirm: Mobile: Alt. Mob.: Relation: Type: SELECT ↵ ParentSiblingEmergencyOther Primary Contact? This means the contact will receive emails related to the student. The contact will also see the student on the parent portal to view progress and other information. If you select no here, this contact will not see the student on the parent portal. Add Another Contact I consent that IBEUK can process this form and submit directly to Masjid Aisha (Madrasah Talimul Islam). Your data will not be stored nor used by us. Please press the following buttons in order to confirm you're not a bot: 5 4 3 2 1 Restart
